Evidence map›Paper›PMID 38467949›Full record

SynthesisOral and maxillofacial surgery2024

Pyodermatitis-pyostomatitis vegetans: a case report and systematic review focusing on oral involvement.

Bruno Ramos Chrcanovic, Roberta Rayra Martins-Chaves, Flávia Sirotheau Correa Pontes, Felipe Paiva Fonseca, Hélder Antônio Rebelo Pontes, Ricardo Santiago Gomez

Abstract readSystematic ReviewCase Reports
In one paragraph

Synthesis in Oral and maxillofacial surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Bruno Ramos ChrcanovicDepartment of Oral and Maxillofacial Surgery and Oral Medicine, Faculty of Odontology, Malmö University, Carl Gustafs väg 34, Malmö, SE-214 21, Sweden. bruno.chrcanovic@mau.se.ORCID http://orcid.org/0000-0002-3460-3374
Roberta Rayra Martins-ChavesFaculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, Brazil.ORCID http://orcid.org/0000-0001-6182-9232
Flávia Sirotheau Correa PontesDepartment of Oral Pathology, João de Barros Barreto University Hospital, Universidade Federal do Pará, Belém, Brazil.ORCID http://orcid.org/0000-0002-6657-4547
Felipe Paiva FonsecaDepartment of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.ORCID http://orcid.org/0000-0002-7609-8804
Hélder Antônio Rebelo PontesDepartment of Oral Pathology, João de Barros Barreto University Hospital, Universidade Federal do Pará, Belém, Brazil.ORCID http://orcid.org/0000-0001-8770-8009
Ricardo Santiago GomezDepartment of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPyodermatitis-pyostomatitis vegetans (PPV) is a rare mucocutaneous disease characterized by multiple pustules and it is considered a marker for inflammatory bowel disease (IBD). The oral manifestations of this condition are referred to as pyostomatitis vegetans (PSV). PURPOSE: To investigate which features could help in establishing the diagnosis of PSV, with or without cutaneous lesions, based on information retrieved from all cases of PSV described in the literature. A case of PV from the authors was also included in the analysis.

methodsAn electronic search was undertaken, last updated in August 2022. Inclusion criteria included publications reporting cases of PSV, with the diagnosis confirmed by the pathological examination of oral or skin lesions, and presence of IBD. RESULTS/

conclusionsSixty-two publications with 77 cases of PSV and an associated IBD were included. Features that are helpful in establishing the diagnosis of PSV are snail track appearance of oral lesions, an associated IBD (which is not always symptomatic), evidence of intraepithelial clefting on microscopic examination of oral lesions, and peripheral blood eosinophilia. A gold standard for the management of PSV does not exist and high-level evidence is limited. There is no established therapeutic protocol for PSV and management primarily consists of topical and/or systemic corticosteroids, antirheumatic drugs (sulfasalazine, mesalazine), monoclonal antibody (infliximab, adalimumab) immunosuppressives (azathioprine, methotrexate), antibiotics (dapsone), or a combination of these. The risk of recurrence of oral lesions is considerable when the medication dose is decreased or fully interrupted.

Indexed as

PyodermaStomatitisHumansInflammatory Bowel DiseasesInflammatory bowel diseasePyodermatitis-pyostomatitis vegetansPyostomatitis vegetansSystematic review

Identifiers

PMID38467949
PMCPMC11330387

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.